NPI 1013326792

Jerrad Michael Stoddard, PA

Practitioner Physician Assistant Round Rock, TX

Practice location

Address: 2410 Round Rock Ave STE 150, Round Rock, TX 78681-4019
Phone: (512) 341-8724
Fax: (512) 687-0295
Mailing address: PO Box 911230, Dallas, TX 75391-1230

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA09361 (TX)

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Registry record

NPI: 1013326792
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2014
Record last updated: 1 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.